Information
Swimming Pool - Premises Details
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Premises Name:
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Location address:
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Mailing address (if different from location address):
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Inspection conducted on:
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Civica Number:
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ABN/ACN:
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Proprietor/Company Name:
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Contact Email:
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Contact phone number:
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Type of Premise
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Number of pools onsite
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Log book maintained - records must be made and kept for at least 6 months of results of testing required under Public Health Regulations 2022.
Chlorine Pool
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Pool type
- Diving
- Olympic
- Training
- Toddler
- Zero
- Slide
- Spa
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Location
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Circulation System
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Disinfection - dosing system
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Disinfectant level & pH with AUTOMATED disinfection system must:<br> <br>(a) be recorded every day - once BEFORE the pool opens for use by the public - AND - once DURING the period in which the pool is being used, &<br><br>(b) be tested manually once every day.
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Disinfectant level & pH with continuous metered disinfectant dosing system must be tested manually ONCE every day BEFORE the pool opens for use.
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Testing frequency - additional disinfectant and pH testing may be necessary, depending on: - number of swimmers - hours of operation - depth of pool - effect of sunlight on disinfectant levels
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Auxiliary system
- UV light
- Ozone
- Ionic
- Cyanurate
- Other
- None
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Test kit method
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Bathing load (prev. hour)
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Clarity
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Pool wall
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Concourse drainage
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Incident response plans / kits
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Water temperature (°C) - (must not exceed 38°C)
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pH range - (must be between 7.0 and 7.8)
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Free Chlorine (mg/L) - (if pH is LESS than 7.6)
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Free chlorine is equal to or MORE than 1.0 m/L
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Free chlorine equal to or greater than 2.0 m/L
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Free Chlorine - (if pH is greater than 7.6)
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Free chlorine is equal or greater than 2.0 m/L
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Free chlorine is equal or greater than 3.0 m/L
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Combined Chlorine - (must not exceed 1.0 mg/L)
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Total Chlorine (mg/L) - (must not exceed 10.0 mg/L)
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Total alkalinity (must be between 80 mg/L & 200 mg/L)
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Tested once a day?
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Cyanuric acid used? (outdoor chlorine pool only)
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Levels - (must not exceed 50 mg/L)
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Tested at least once a week?
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Ozone - if used, test weekly. But must not be present in the pool
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Maintenance
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Breakpoint practiced
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Comments
BROMINE POOLS & SPA
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Bromine Pool
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Pool type
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Location
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Circulation System
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Disinfection - dosing system
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Disinfectant level & pH with AUTOMATED disinfection system must <br>(a) be recorded every day - once BEFORE the pool opens for use by the public - AND - once DURING the period in which the pool is being used, &<br><br>(b) be tested manually once every day.
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Disinfectant level & pH with continuous metered disinfectant dosing system must be tested manually ONCE every day BEFORE the pool opens for use.
-
Testing frequency - additional disinfectant and pH testing may be necessary, depending on: - number of swimmers - hours of operation - depth of pool - effect of sunlight on disinfectant levels
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Auxiliary
- UV light
- Ozone
- Ionic
- Cyanurate
- Other
- None
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Test kit method
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Bathing load (prev. hour)
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Clarity
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Pool wall
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Concourse drainage
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Incident response plans / kits
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Water temperature (°C)
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Bromine (mg/L) (must not exceed 9.0 mg/L)
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Bromine equal to or greater than 2.25 mg/L
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Bromine equal to or greater than 4.5 mg/L
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pH range - (must be between 7.0 and 8.0)
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Total alkalinity (mg/L)
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Cyanurate (mg/L)
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Ozone (mg/L)
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Maintenance
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Breakpoint practiced
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Comments
Spa
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Location
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Water temperature (°C)
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Bromine concentration (mg/L) - must be equal or greater than 4.5 mg/L
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pH range
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Total alkalinity (between 80 mg/L and 200 mg/L
Premises Inspection Report
1. Pool Surrounds
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Floor or ground (graded, drained, non-slip, cleaned and in good repair) - Satisfactory
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Walls and ceiling (for indoor pools); (tiled, clean and in good repair)
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Lighting and ventilation (adequate and operating)
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Fittings and fixtures (clean, in good repair and adequate)
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Garbage disposal (clean, in good repair and adequate)
2. Toilets / change rooms / showers
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Floor (graded, drained, tiled and clean)
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Walls and ceiling (tiled - clean and in good repair)
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Lighting and ventilation (adequate and operating)
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Fittings and fixtures (clean, in good repair and adequate)
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Toilet paper, soap and hand drying facilities provided?
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Nappy change facilities (clean, in good repair)
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Sanitary disposal
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Garbage disposal (cleanliness, adequate)
3. Chemical storage
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Chemicals (stored in labelled containers)
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Location (secured and away from other chemicals)
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Pool manger to seek advice from WorkCover about the safe storage of pool chemicals
4. Fencing
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Refer to local government to follow-up any problems
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Chemistry
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Risk to public health
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Pool operator formal training?
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Bacteriological sample taken?
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Inspection result
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Further action required
- Satisfactory
- Email photos of compliance to erin.hogan@strathfield.nsw.gov.au
- Warning letter
- Improvement notice
- Prohibition order
I have read this report and understand the contents
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Proprietor / employee name and signature
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Environmental Health Officer name and signature
